An enrollee must be responsible for his own health care by becoming an informed and active participant in such care by: (1) Living healthy lifestyles and averting behaviors known to be detrimental to one's health. (2) Becoming knowledgeable about their policy's/plan's coverage provisions, rules, and restrictions. (3) Asking questions of providers to determine the potential risks, benefits, and costs of treatment alternatives and then making care decisions after carefully weighing these and other pertinent factors. (4) Cooperating fully with providers in following mutually acceptable courses of treatment, providing accurate medical and personal histories, being present at scheduled appointments and reporting on treatment progress, such as notifying caregivers promptly if serious side effects, complications, or worsening of the condition arises.
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